Gila Bend Clinic Dental Services

LBN: Dhew Indian Health Service Health Services & Mental Health Adm.
Gila Bend Clinic Dental Services is an health care organization with primary practice located at 100 North Gila Boulevard , Gila Bend AZ 85227-2658. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty. Dhew Indian Health Service Health Services & Mental Health Adm. can be contacted via phone (602) 263-1511, or through Dick, Deanna J. via phone (602) 263-1567.

Contact Information

Primary practice address
100 North Gila Boulevard Gila Bend AZ 85227-2658
Phone: (602) 263-1511
Fax: (602) 263-1619
Website:
Map and Directions
Authorized official contact:
Name: Dick, Deanna J. MSW., MHA.
Phone: (602) 263-1567

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Public Health 1223D0001X
Dental Providers / General Practice 1223G0001X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1780730549
LBN Legal business name Dhew Indian Health Service Health Services & Mental Health Adm.
DBA Doing business as Gila Bend Clinic Dental Services
Authorized official Dick, Deanna J. MSW., MHA.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 19th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780730549 NPPES
Arizona MEDICAID 812851

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